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General NPI Number Information
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NPI Number | 1104016559
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Entity Type | Individual
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Provider Name | MATTHEW SCOTT HUDSON D.C.
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Gender | Male
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Dates
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Enumeration Date | 07/31/2007
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Last Update Date | 11/08/2012
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Provider Practice Location Address
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Address Line | 7850 ROCKFISH VALLEY HWY
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City | AFTON
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State | VA
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Zip | 22920-3189
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Country | US
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Telephone | 434-327-3934
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Fax |
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Provider Business Mailing Address
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Address Line | 646 GREEN LN
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City | FABER
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State | VA
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Zip | 22938-2630
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Country | US
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Telephone | 434-327-3934
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 0104556517
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License Number State | VA
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